Organization Active NPI

Peak Diagnostic Partners

  • Clinical Medical Laboratory
  • Minneapolis, MN
National Provider Identifier
1801506902
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PEAK DIAGNOSTIC PARTNERS
Practice address
1200 Washington Ave S Ste 175
Minneapolis, MN 55415-1564
Phone
(303) 956-7591
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roland Marcus
Title
Coo
Phone
(303) 956-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1200 Washington Ave S Ste 175
Minneapolis, MN 55415-1564

Mailing address

12635 E Montview Blvd Ste 124
Aurora, CO 80045-7335
Phone (303) 956-7591

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12635 E Montview Blvd
Ste 124
Aurora, CO 80045

12635 E Montview Blvd
Ste 123
Aurora, CO 80045

1200 Washington Ave S
Ste 175
Minneapolis, MN 55415
Phone (303) 956-7591

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1801506902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 E MONTVIEW BLVD STE 124",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457335",
            "telephone_number": "303-956-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WASHINGTON AVE S STE 175",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151564",
            "telephone_number": "303-956-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK DIAGNOSTIC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-956-7591"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.